Active NPI
Justine Judy Smith, RPH
- Pharmacist
- Shawano, WI
National Provider Identifier
1689906901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13761040
- Practice address
- 1211 E Green Bay St
Shawano, WI 54166-2207 - Phone
- (715) 526-6551
- NPI assigned
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13761040 | WI | Primary |
| Pharmacist | 183500000X | 051030602 | IL |
Addresses
Primary practice location
1211 E Green Bay St
Shawano, WI 54166-2207
Mailing address
1211 East Green Bay Rd
Shawano, WI 54166-2207
Phone (715) 526-6551
Other names 1
- Justine Straus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051030602 | IL | MD | Pharmacist |
| 13761040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1689906901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 EAST GREEN BAY RD",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662207",
"telephone_number": "715-526-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 E GREEN BAY ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662207",
"telephone_number": "715-526-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JUSTINE",
"middle_name": "JUDY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13761040",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051030602",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTINE",
"last_name": "STRAUS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shawano, WI
- Shoptikal LLC (Shopko Optical 4304)
- Cassandra Loretta Silveyra, NP
- Kristina Therese Sipple, D.C.
- Jennifer May Skibba, D.C.
- Nicole Ann Smith-Angwenyi, MSW
- Sarah Christine Smith
- Kaitlyn Rose Sprangers, CCC-SLP
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital - Libertas of Shawano)
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Prevea Health ENT)
- St Vincent Hospital-Hospital Sisters-Third Order of St. Francis (Prevea Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.